title: Evaluating patient acceptability of a culturally focused psychiatric consultation intervention for Latino Americans with depression.
abstract: Significant disparities exist in both access to and quality of mental health care for Latino Americans with depression compared to Caucasians, resulting in a greater burden of disability in this underserved population. Our aim is to evaluate participant acceptability of a Culturally Focused Psychiatric (CFP) consultation program for depressed Latino Americans. Latino American adult primary care patients endorsing depressive symptoms on a screening questionnaire were targeted in their primary care clinic. The intervention addressed participants' depressive symptoms using culturally adapted clinical assessments and toolkits. Acceptability was evaluated using a treatment satisfaction scale and in-depth semi-structured interviews. Overall, 85% of participants responded positively to all questions of the satisfaction scale. In in-depth interviews, the vast majority of participants reported the program met expectations, all stated providers were culturally sensitive, and most stated recommendations were culturally sensitive. The CFP program was found to be acceptable to a group of depressed Latino American primary care patients. Further research is needed to evaluate if the CFP intervention can improve depressive symptoms and outcomes.
authors.affiliation: Depression Clinical and Research Program, Massachusetts General Hospital, One Bowdoin Square, Sixth Floor, Boston, MA, 02114, USA, ntrinh@partners.org.
authors.forename: Nhi-Ha T
authors.initials: NH
authors.lastname: Trinh
authors.forename: Patrick N
authors.initials: PN
authors.lastname: Hagan
authors.forename: Katherine
authors.initials: K
authors.lastname: Flaherty
authors.forename: Lara N
authors.initials: LN
authors.lastname: Traeger
authors.forename: Aya
authors.initials: A
authors.lastname: Inamori
authors.forename: Charlotte D
authors.initials: CD
authors.lastname: Brill
authors.forename: Katherine
authors.initials: K
authors.lastname: Hails
authors.forename: Trina E
authors.initials: TE
authors.lastname: Chang
authors.forename: C Andres
authors.initials: CA
authors.lastname: Bedoya
authors.forename: Maurizio
authors.initials: M
authors.lastname: Fava
authors.forename: Albert
authors.initials: A
authors.lastname: Yeung
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D065246:Culturally Competent Care / Q000379:methods*; D003863:Depression / Q000175:diagnosis / Q000208:ethnology* / Q000628:therapy; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000208:ethnology* / Q000523:psychology; D017060:Patient Satisfaction / Q000208:ethnology; D011320:Primary Health Care / Q000379:methods; D011795:Surveys and Questionnaires; D055815:Young Adult